Definitions
An individual who has training in specific aspects of advanced life support, such as intravenous therapy, and the administration of certain emergency medications
advanced EMT (AEMT)
What are the 14 components of the EMS system?
1. Public Access
2. Clinical Care
3. medical direction
4. Integration of Health Services
5. Information Systems
6. Prevention
7. EMS Research
8. Communication Systems
9. Human Resources
10. Legislation and Regulation
11. Evaluation
12. System Finance
13. Public Education
14. Education System
What are the 7 common hazards in a fire?
1. smoke
2. oxygen deficiency
3. high ambient temperatures
4. toxic gases
5. building collapse
6. equipment
7. explosions
the use of objects to limit a person's visibility of you
concealment
Describe proper glove removal technique
Step 1: partially remove the first glove by pinching at the wrist. ONLY TOUCH the outside of the glove
Step 2: Remove the second glove by pinching the exterior with your partially gloved hand
Step 3: pull the second glove inside out toward the fingertips
Step 4: grasp both gloves with your free hand, touching only the clean, interior surface
procedures to reduce transmission of infection among patients and health care personnel
infection control
What should you do when a patient refuses treatment and/or transport?
-ask why
-explain condition
-inform medical control of the situation
Name some common workplace issues
1. cultural diversity
2. sexual harassment
3. substance abuse
a disease that can be spread from one person or species to another
communicable disease
How would you manage potential exposure
Step 1. En route to the scene, make sure that PPE is out and available
Step 2: On arrival, make sure the scene is safe to enter, then perform a rapid scan of the patient, noting whether any blood or body fluids are present
-select the proper PPE according to task
pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include hepatitis B virus and human immunodeficiency virus (HIV)
bloodborne pathogens
Should you report the patient's use of illegal substances to law enforcement personnel?
-You should include it in your patient care report and your oral report to the receiving facility
-not legally required to report the patient's use to law enforcement
State office of EMS
reactions to stress that occur during a stressful situation
acute stress reactions
Historical Background: volunteer ambulances were organized and personnel went overseas to provide care for the wounded
WWI
A legal defense that may be raised when the defendant feels that the conduct of the plaintiff somehow contributed to any injuries or damages that were sustained by the plaintiff
contributory negligence
What is the purpose of an EMS call critique?
provide feedback regarding how you cared for the patient and met his/her physical and emotional needs
You can take several steps to protect yourself against exposure to infectious diseases, what are they?
1. keeping up to date with recommended vaccinations
2. following standard precautions at all times
3. handling all needles and other sharp objects with great care
Written documentation by a physician giving permission to medical personnel not to attempt resuscitation in the event of cardiac arrest
do not resuscitate (DNR) orders
What are the General Postexposure Management Steps?
1. turn over patient care to another EMS provider
2. clean the exposed area
3. rinse eyes if necessary for 20 minutes
4. activate departments infection control plan
5. complete an exposure report
when a person who has a duty abuses it, and causes harm to another individual, the EMT, the agency, and/or the medical director may be sud for negligence
proximate causation
What Level of Training: completes an extensive course of training that significantly increases knowledge and mastery of basic skills and covers a wide range of ALS skills
Paramedic
Historical Background: military trained special corpsmen to provide care in the field and bring the casualties to aid stations staffed by nurses and physicians
WWII
Unilateral termination of care by the EMT without the patient's consent and without making provisions for transferring care to another medical professional with the skills and training necessary to meet the needs of the patient
abandonment
What Level of Training: skills include IV therapy, use of advanced airway adjuncts, and the knowledge and skills necessary to administer a limited number of medications
Advanced Emergency Medical Technician (AEMT)